Individual provider Active NPI

Amy S Mazer, LCSWC

  • Clinical Social Worker
  • Lutherville, MD
National Provider Identifier
1598895112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04009 Issued in MD
Practice address
2360 W Joppa Rd
Suite 317
Lutherville, MD 21093-4639
Phone
(410) 825-1581
Fax
(410) 825-1582
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 04009 MD Primary

Addresses

Primary practice location

2360 W Joppa Rd
Suite 317
Lutherville, MD 21093-4639

Mailing address

2360 W Joppa Rd
Suite 317
Lutherville, MD 21093-4639
Phone (410) 825-1581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598895112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD",
            "address_2": "SUITE 317",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934639",
            "telephone_number": "410-825-1581",
            "fax_number": "410-825-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD",
            "address_2": "SUITE 317",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934639",
            "telephone_number": "410-825-1581",
            "fax_number": "410-825-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZER",
        "first_name": "AMY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.